Research Article

Apelin/APJ-Manipulated CaMKK/AMPK/GSK3β Signaling Works as an Endogenous Counterinjury Mechanism in Promoting the Vitality of Random-Pattern Skin Flaps

Figure 9

Potential mechanism underlying the wound healing promotion of apelin13 on IRI-induced skin flap injuries in mice and HUVECs. Apelin13 protected a random-pattern skin flap against IRI-induced oxidative stress and inflammation through AMPK-mediated inhibitory phosphorylation of GSK-3β downstream of the G-coupled receptor (APJ), further inducing Nrf2-mediated antioxidant protein expressions and promoting angiogenesis.